Th17 cells expressing KIR3DL2+ and responsive to HLA-B27 homodimers are increased in ankylosing spondylitis.

Th17 cells expressing KIR3DL2+ and responsive to HLA-B27 homodimers are increased in ankylosing spondylitis.
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DOI:
10.4049/jimmunol.1002653
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发表时间:
2011-02-15
期刊:
Journal of immunology (Baltimore, Md. : 1950)
影响因子:
--
通讯作者:
Kollnberger S
Kollnberger S
中科院分区:
其他
文献类型:
--
作者:
Bowness P;Ridley A;Shaw J;Chan AT;Wong-Baeza I;Fleming M;Cummings F;McMichael A;Kollnberger S

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CD4辅助T细胞产生促炎细胞因子il - 17 (Th17)与包括脊椎关节炎在内的许多炎性关节炎有关。Th17的发育是由IL23促进的。强直性脊柱炎(AS)是最常见的脊柱炎,与HLA-B27 (B27)和il - 23受体多态性在遗传上相关,但这种联系仍未得到解释。我们之前已经证明B27可以形成重链二聚体(称为B272),与传统的HLA-B27不同,B27可以结合杀伤细胞免疫球蛋白样受体KIR3DL2。本研究表明,表达b272的抗原提呈细胞刺激了脊椎关节炎(SpA)患者血液和滑液中KIR3DL2+ CD4 T细胞的存活、增殖和IL17的产生。尽管在SpA患者的外周血中,KIR3DL2+细胞平均仅占CD4 T的15%,但与对照组相比,该亚群占SpA受试者中观察到的Th17数量增加的70%。来自SpA患者的tcr刺激的外周血KIR3DL2+CD4 T细胞系分泌的IL17比来自对照组的KIR3DL2+细胞系或KIR3DL2阴性CD4 T细胞系多4倍。引人注目的是,KIR3DL2+CD4 T细胞占外周血CD4 T细胞IL23受体表达的大部分,并且在IL23存在时产生更多的IL17。我们的研究结果将HLA-B27与IL-17的产生联系起来,并为AS/SpA提供了新的治疗策略。
CD4 helper T cells producing the pro-inflammatory cytokine IL17 (Th17) have been implicated in a number of inflammatory arthritides including the Spondyloarthritides. Th17 development is promoted by IL23. Ankylosing Spondylitis (AS), the commonest Spondyloarthritis, is genetically associated with both HLA-B27 (B27) and with IL23 receptor polymorphisms, however the link remains unexplained. We have previously shown that B27 can form heavy chain dimers (termed B272), which, unlike classical HLA-B27, bind the Killer-cell Immunoglobulin-like Receptor KIR3DL2. Here we show that B272-expressing antigen presenting cells stimulate the survival, proliferation and IL17 production of KIR3DL2+ CD4 T. KIR3DL2+ CD4 T cells are expanded and enriched for IL17 production in the blood and synovial fluid of patients with spondyloarthritis (SpA). Despite KIR3DL2+ cells comprising a mean of just 15% of CD4 T in the peripheral blood of SpA patients, this subset accounted for 70% of the observed increase in Th17 numbers in SpA subjects compared to controls. TCR-stimulated peripheral blood KIR3DL2+CD4 T cell lines from SpA patients secreted four fold more IL17 than KIR3DL2+ lines from controls or KIR3DL2-negative CD4 T. Strikingly, KIR3DL2+ CD4 T cells account for the majority of peripheral blood CD4 T cell IL23 receptor expression and produce more IL17 in the presence of IL23. Our findings link HLA-B27 with IL-17 production and suggest new therapeutic strategies in AS/SpA.
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